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General NPI Number Information
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NPI Number | 1215273230
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Entity Type | Individual
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Provider Name | ROSEMARIE IRENE HORNER NP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3300 4TH ST
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City | BRUNSWICK
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State | GA
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Zip | 31520-3779
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Country | US
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Telephone | 912-788-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PROFESSIONAL CENTER DR
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City | BRUNSWICK
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State | GA
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Zip | 31525-6743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN159649
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN159649
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 105687
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60609531
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License Number State | WA
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